Z6E-29091-70552

3 vaccinations 7 coded responses 30 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 385 / TN
Registered: 2021-04-03

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Registered dependents

J6J-11664-52760 Adult relative or friend · Male · 2021-09-05

HAD-32473-12324 Adult relative or friend · Female · 2021-09-05

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Dose 1 — Moderna
2021-04-03
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Throat cancer — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Im also being aggressively treated for throat cancer which probably has the same symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Joint stiffness — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Shoulder of injected forearm tense and sore, weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Dose 3 — Moderna
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-11
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-25
Survey response — day 21, dose 3
MedDRA: Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid symptoms still! The TN idiots dont take anything serious!! One man tried to come in my house 2 days ago knowing he has covid! He laughed when I made him leave! Sorry, Im going stir crazy being stuck at home. Waiting for test results to

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — day 28, dose 3
MedDRA: Arthralgia, Cough, Diarrhoea, Headache, Nausea, Neck pain, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test, Sneezing, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Im sure Ive had a milder case of covid but I cant get test results back from CVS in TN. Symptoms are easing up some like diarrhea, nausea, vomiting but still have very sore neck/shoulder aches, sore throat, coughing, sneezing,mild fever, HE

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 35, dose 3
MedDRA: Arthralgia, Dizziness, Fall, Headache, Pain, Tinnitus — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Constant extreme pain in both shoulders and upper body. Headaches daily and sometimes several times a day!! Constantly dizzy that I fall into the wall or onto something besides the floor! LOUD noises constantly competing with each other in my head

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-03
Survey response — 6 months, dose 3
MedDRA: Radiotherapy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Conditions a result from radiation treatments not covid.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-05-06	Moderna
3	2021-09-02	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Im also being aggressively treated for throat cancer which probably has the same symptoms

2021-04-04

Systemic reaction (other): Shoulder of injected forearm tense and sore, weak.

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Weakness

Release 9 — day 21, dose 3

2021-09-25

Symptoms: Covid symptoms still! The TN idiots dont take anything serious!! One man tried to come in my house 2 days ago knowing he has covid! He laughed when I made him leave! Sorry, Im going stir crazy being stuck at home. Waiting for test results to

Release 9 — day 28, dose 3

2021-09-30

Symptoms: Im sure Ive had a milder case of covid but I cant get test results back from CVS in TN. Symptoms are easing up some like diarrhea, nausea, vomiting but still have very sore neck/shoulder aches, sore throat, coughing, sneezing,mild fever, HE

Release 10 — day 35, dose 3

2021-10-13

Symptoms: Constant extreme pain in both shoulders and upper body. Headaches daily and sometimes several times a day!! Constantly dizzy that I fall into the wall or onto something besides the floor! LOUD noises constantly competing with each other in my head cut off by CDC

Release 11 — 6 months, dose 3

2022-03-03

Symptoms: Conditions a result from radiation treatments not covid.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Fall	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Radiotherapy	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Sneezing	·	·	✓
SD	Tinnitus	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Joint stiffness	✓	✓	✓
SRO	Throat cancer	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release